Organization
FRY'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA NICOLE HALL PHARMD (STAFF PHARMACIST)
(480) 274-8302
Entity
Organization
Contact information
Practice address
1935 N STAPLEY DR, MESA, AZ 85203-2749
(480) 610-4173
(480) 610-4176
Mailing address
1935 N STAPLEY DR, MESA, AZ 85203-2749
(480) 610-4173
(480) 610-4176
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S018655
AZ
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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